Göðüs Hastanesi Dergisi. 2007; 21(1): 11-15

BRONÞEKTAZÝDE UZUN DÖNEM CERRAHÝ TEDAVÝ SONUÇLARI: HASTALARIN DÜÞÜNCELERÝ NEDÝR?

Ali ÖZDÝL¹, Kutsal TURHAN¹, Alpaslan ÇAKAN¹, Ufuk ÇAÐIRICI¹
Ege Üniversitesi Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Ýzmir

Bronþektazi kronik nekrotizan enfeksiyona baðlý olarak bronþlarýn irreverzibl dilatasyonudur. Uygun olgularda cerrahi tedavinin sonuçlarý týbbi tedaviye oranla daha iyidir. Bu çalýþmada, bronþektazi tanýsýyla opere ettiðimiz olgularýn memnuniyet düzeylerinin ve postoperatif uzun dönem sonuçlarýmýzýn deðerlendirilmesi amaçlanmýþtýr. Kliniðimizde son 10 yýllýk süre içinde, bronþektazi tanýsýyla rezeksiyon uygulanan 26 hastanýn verileri retrospektif olarak incelendi. Olgulardan telefonla ulaþýlabilen 22'sine cerrahi tedaviden memnun olup olmadýklarý ve yakýnmalarýnýn nasýl deðiþtiðini sorgulayan anket uygulandý. Olgularýn yaþ ortalamasý 39.1±11.8 (30-64) olup 19'u (%73) kadýn, yedisi (%27) erkekti. En sýk izlenen yakýnmalar, bol ve kötü kokulu balgam çýkarma (%69.2), hemoptizi (%42.3) ve öksürük (%38.5) idi. Preoperatif dönemde tümü göðüs bilgisayarlý tomografisi ile deðerlendirilen hastalardan 17'sine (%65.4) lobektomi, yedisine (%27.0) lobektomi ve segmentektomi, birine (%3.8) bilo-bektomi ve birine (%3.8) segmentektomi uygulanmýþtý. Anket uygulanabilen 22 olgunun 11'i (%50.0) yakýnmalarýnýn tamamen ortadan kalktýðýný, 10'u (%45.5) belirgin þekilde azaldýðýný belirtirken; Kartagener sendromlu hasta (%4.5) deðiþiklik olmadýðýný ifade etti. Son olgu dýþýndaki tüm hastalar, tekrar karar vermeleri gerekirse yine cerrahi tedaviyi seçeceklerini belirttiler. Bronþektazili hastalarýn çoðunda cerrahi tedavi semptomlarý belirgin olarak ortadan kaldýrmaktadýr. Semptomlarýn tamamen düzeltilmesi için tüm bronþektatik bölgeler rezeke edilmelidir.

Anahtar Kelimeler: Bronþektazi, cerrahi, hasta memnuniyeti

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LONG-TERM SURGICAL RESULTS IN BRONCHIECTASIS: WHAT ARE THE THOUGHTS OF PATIENTS?

Ali ÖZDÝL¹, Kutsal TURHAN¹, Alpaslan ÇAKAN¹, Ufuk ÇAÐIRICI¹
Ege Üniversitesi Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Ýzmir

Bronchiectasis is irreversible dilatation of bronchi leading to chronic necrotizing infections. In eligible patients, the results of surgical treatment are better than medical therapy. The aim of this study is to present long-term surgical results and satisfaction of our patients who underwent surgical resection with bronchiectasis. We reviewed retrospectively the medical records of 26 patients who underwent resection for bronchiectasis in our clinic during the last ten years. A questionnarie, which interrogate the satisfaction of patients about surgical treatment and the changes in their symptoms, is applied to 22 patients whom were contacted with a telephone calling. The average age was 39.1±11.8 (30-64) and there were 19 (73%) female, 7 (27%) male patients. The frequent symptoms were expectoration of abundant and foul-smelling sputum (69.2%), hemoptysis (42.3%) and cough (38.5%). All of the patients evaluated with chest computed tomography preoperatively. Seventeen patients (65.4%) had a lobectomy, seven (27.0%) had a combined lobectomy and segmentectomy, one (3.8%) had a bilobectomy and one (3.8%) had a segmentectomy. Eleven of 22 (50%) patients who were applied a questionnarie defined that they haven't any symptoms no longer, 10 (45.5%) stated that their symptoms diminished prominently and the patient with Kartagener syndrome (4 .5%) defined that there have been no change in the symptoms. If they have to decide again, all patients except the last one emphasized that prefering the surgical treatment. Surgical treatment of bronchiectasis markedly improves symptoms in most of the patients. For the complete control of symptoms, all bronchi-ectatic sites must be resected

Keywords: Bronchiectasis, surgery, patient's satisfaction

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ATIF KOPYALA